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Tracheostomy-dependent patients with neuromuscular disorders (NMDs) face an increased risk of tracheoinnominate fistula (TIF), a rare yet often fatal complication of tracheostomy. We present a case of an impending TIF in a patient with X-linked myotubular myopathy (XLMTM) and propose guidelines on the prevention and management of TIF in patients with NMDs.
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http://dx.doi.org/10.1002/lary.70047 | DOI Listing |
Pediatr Surg Int
August 2025
Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan.
Purpose: This study aimed to analyze laryngotracheal separation (LTS) outcomes and evaluate the efficacy of the evaluation criteria for prophylactic innominate artery transection (PIAT) in neurologically impaired patients.
Methods: 67 patients who underwent LTS were reviewed. They were divided into three groups: patients without a tracheostomy tube (TT) (Group 1), patients with a TT but without PIAT (Group 2) and patients with TT and PIAT (Group 3).
Laryngoscope
August 2025
New York Medical College, School of Medicine, Valhalla, New York, USA.
Tracheostomy-dependent patients with neuromuscular disorders (NMDs) face an increased risk of tracheoinnominate fistula (TIF), a rare yet often fatal complication of tracheostomy. We present a case of an impending TIF in a patient with X-linked myotubular myopathy (XLMTM) and propose guidelines on the prevention and management of TIF in patients with NMDs.
View Article and Find Full Text PDFOtolaryngol Head Neck Surg
June 2025
Department of Radiology, Command Hospital, Chandimandir, Panchkula, Haryana, India.
Objective: Tracheo-innominate artery fistula (TIF) is a rare but devastating complication of tracheostomy. A systematic review was performed with the aim of identifying the factors associated with favorable outcomes in cases of TIF post-tracheostomy.
Data Sources: Literature search conducted using PubMed/Medline, Semantic Scholar, OpenAlex, Scopus, and Google Scholar.
J Clin Med
November 2024
Institute of Legal Medicine, Department of Medical and Surgical Sciences, "Magna Graecia" University of Catanzaro, 88100 Catanzaro, Italy.
Tracheostomy is an essential procedure in cases of respiratory failure in patients requiring long-term ventilation or showing airway obstruction. Tracheostomy has both immediate and long-term complications. Among these, tracheo-innominate fistula is an emergency that is a rare long-term complication.
View Article and Find Full Text PDFThorac Surg Clin
February 2025
Division of Cardiothoracic Surgery, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, H4/318, Madison, WI 53792, USA. Electronic address:
Fistulization between the tracheobronchial tree and gastrointestinal tract is a challenging clinical situation that leads to life-threatening pulmonary contamination and inadequate nutrition. Operative management requires repair of both airway and esophageal defects with or without tracheal resection and reconstruction to restore a functional airway and maintain gastrointestinal continuity. Tracheoinnominate fistula is a rare communication between the airway and innominate artery that can result in fatal hemorrhage.
View Article and Find Full Text PDF